{
  "description": "This example illustrates the use of risk adjustment variables within a measure represented as a FHIR eCQM",
  "_filename": "example/Measure-Terminology-FHIR.json",
  "package_name": "hl7.fhir.uv.cqm",
  "date": "2025-08-13",
  "group": [ {
    "id": "group-1",
    "extension": [ {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.linkId",
      "valueString": "primary"
    } ],
    "population": [ {
      "code": {
        "coding": [ {
          "code": "initial-population",
          "system": "http://terminology.hl7.org/CodeSystem/measure-population",
          "display": "Initial Population"
        } ]
      },
      "criteria": {
        "language": "text/cql-identifier",
        "expression": "Initial Population"
      },
      "extension": [ {
        "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId",
        "valueString": "primary-terminology-initial-population"
      } ]
    } ]
  } ],
  "meta": {
    "profile": [ "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-cohortmeasure", "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-computablemeasure", "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-computablemeasure" ]
  },
  "publisher": "HL7 International / Clinical Quality Information",
  "approvalDate": "2019-03-08",
  "jurisdiction": [ {
    "coding": [ {
      "code": "001",
      "system": "http://unstats.un.org/unsd/methods/m49/m49.htm"
    } ]
  } ],
  "name": "Terminology_FHIR",
  "type": "[{:coding [{:system \\\"http://terminology.hl7.org/CodeSystem/measure-type\\\", :code \\\"process\\\"}]}]",
  "experimental": "true",
  "topic": [ {
    "coding": [ {
      "code": "57024-2",
      "system": "http://loinc.org",
      "display": "Health Quality Measure Document"
    } ]
  } ],
  "resourceType": "Measure",
  "title": "Terminology FHIR",
  "library": [ "http://hl7.org/fhir/uv/cqm/Library/Terminology" ],
  "package_version": "1.0.0",
  "extension": [ {
    "url": "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis",
    "valueCode": "Encounter"
  }, {
    "id": "effective-data-requirements",
    "url": "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements",
    "valueCanonical": "#effective-data-requirements"
  } ],
  "contained": [ {
    "dataRequirement": [ {
      "type": "Encounter",
      "profile": [ "http://hl7.org/fhir/StructureDefinition/Encounter" ],
      "codeFilter": [ {
        "path": "type",
        "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.7.307|20160929"
      } ],
      "mustSupport": [ "type", "status" ]
    } ],
    "name": "EffectiveDataRequirements",
    "type": {
      "coding": [ {
        "code": "module-definition",
        "system": "http://terminology.hl7.org/CodeSystem/library-type"
      } ]
    },
    "resourceType": "Library",
    "extension": [ {
      "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
      "extension": [ {
        "url": "libraryName",
        "valueString": "Terminology"
      }, {
        "url": "name",
        "valueString": "Inpatient Encounter"
      }, {
        "url": "statement",
        "valueString": "define \"Inpatient Encounter\":\n  [\"Encounter\": type in \"Encounter Inpatient SNOMEDCT Value Set\"] E\n    where E.status = 'finished'"
      }, {
        "url": "displaySequence",
        "valueInteger": 0
      } ]
    }, {
      "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
      "extension": [ {
        "url": "libraryName",
        "valueString": "Terminology"
      }, {
        "url": "name",
        "valueString": "Initial Population"
      }, {
        "url": "statement",
        "valueString": "define \"Initial Population\":\n  \"Inpatient Encounter\""
      }, {
        "url": "displaySequence",
        "valueInteger": 1
      } ]
    }, {
      "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition",
      "extension": [ {
        "url": "libraryName",
        "valueString": "FHIRHelpers"
      }, {
        "url": "name",
        "valueString": "ToString"
      }, {
        "url": "statement",
        "valueString": "define function ToString(value EncounterStatus): value.value"
      }, {
        "url": "displaySequence",
        "valueInteger": 2
      } ]
    } ],
    "status": "active",
    "id": "effective-data-requirements",
    "relatedArtifact": [ {
      "type": "depends-on",
      "display": "Library FHIRHelpers",
      "resource": "http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1"
    }, {
      "type": "depends-on",
      "display": "Value set Encounter Inpatient SNOMEDCT Value Set",
      "resource": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.7.307|20160929"
    } ],
    "parameter": [ {
      "max": "*",
      "min": 0,
      "use": "out",
      "name": "Initial Population",
      "type": "Encounter"
    } ]
  } ],
  "status": "active",
  "id": "f35e0a66-62ce-46e0-b70e-e732999b6eb7",
  "kind": null,
  "url": "http://hl7.org/fhir/uv/cqm/Measure/Terminology-FHIR",
  "identifier": [ {
    "use": "official",
    "value": "Terminology_FHIR",
    "system": "http://example.org/fhir/cqi/ecqm/Measure/Identifier/exm"
  }, {
    "value": "urn:oid:2.16.840.1.113883.4.642.40.61.29.19",
    "system": "urn:ietf:rfc:3986"
  } ],
  "lastReviewDate": "2019-03-08",
  "scoring": {
    "coding": [ {
      "code": "cohort",
      "system": "http://terminology.hl7.org/CodeSystem/measure-scoring",
      "display": "Cohort"
    } ]
  },
  "version": "1.0.0",
  "contact": [ {
    "telecom": [ {
      "value": "http://www.hl7.org/Special/committees/cqi",
      "system": "url"
    } ]
  } ],
  "improvementNotation": {
    "coding": [ {
      "code": "decrease",
      "system": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
      "display": "Decreased score indicates improvement"
    } ]
  },
  "effectivePeriod": {
    "end": "2018-12-31",
    "start": "2018-01-01"
  }
}